SURGICAL-TREATMENT FOR THE FAR LATERAL HERNIATED LUMBAR DISC

被引：65

作者：

DONALDSON, WF ^{[1
]}

STAR, MJ ^{[1
]}

THORNE, RP ^{[1
]}

机构：

[1] UNIV PITTSBURGH,MED CTR,ORTHOPAED SURG,PITTSBURGH,PA 15260

来源：

SPINE | 1993年 / 18卷 / 10期

关键词：

HERNIATED NUCLEUS PULPOSUS; LATERAL HERNIATION; PARS INTERARTICULARIS;

D O I：

10.1097/00007632-199308000-00003

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Twenty-nine patients underwent surgery for far lateral herniated nucleus pulposus. Average patient age was 65 years in the 14 male and 15 female patients involved. The L4-5 disc was the most commonly herniated level (59%) followed by L3-4 (31%), L5-S1 (7%), and L2-3 (3%). All patients were initially seen with radiculopathy and 23 patients (79%) had motor weakness. A pars interarticularis sparing technique is described for approaching this type of disc herniation. This approach allows direct visualization of the disc and involved root. The results are encouraging with 72% of patients having good or excellent relief of pain. Seventy-one percent of those with preoperative weakness had no weakness or improvement in strength postoperatively. In general, far lateral herniated nucleus pulposus occurs in older patients and at high lumbar disc levels. Postoperative results are similar to the more common posterolateral herniated nucleus pulposus in patents of the same age group. A surgical approach is described to better address the less familiar anatomy.

引用

页码：1263 / 1267

页数：5

共 25 条

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